Comparison of conservative treatment with and without manual physical therapy for patients with shoulder impingement syndrome a prospective, randomized clinical trial
Senbursa, G., Baltacı, G. and Atay, A., 2007. Comparison of conservative treatment with and without manual physical therapy for patients with shoulder impingement syndrome: a prospective, randomized clinical trial. Knee surgery, sports traumatology, arthroscopy, 15(7), pp.915-921
Takeaway home message: Considering the effect of manipulative therapy, one can speculate that the proprioceptive feedback transmitted by deep level of receptors. This might improve neuromuscular control in the movement patterns of the shoulder girdle and scapular motions. Manual physical therapy applied by experienced physical therapists combined with supervised exercise in a brief clinical trial might better and earlier than exercise alone for increasing strength, decreasing pain, and improving function in patients with shoulder impingement syndrome. A faster program with fewer hospital visits not only enables the patients to proceed with most of their daily activities but also decreases the costs of the treatment.